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State of California -Health and Human Services Agency
<br />California Department of Public Health
<br />Page 2 of 4 pages
<br />RADIOACTIVE MATERIAL LICENSE uoenseNumuer 6852.19
<br />Amencment Number 17
<br />LICENSE CONDITIONS
<br />10. Radioactive materials may be used at temporary job sites of the licensee in areas not under exclusive federal
<br />jurisdiction throughout the State of Califomia (sec Condition 23). Radioactive materials may be permanently stored
<br />only at:
<br />(a) 620 S. Magnolia Avenue, Bldg. G, Ontario, CA.
<br />(b) 2 Ada, Suite 150, Irvine, CA.
<br />(c) 20411 South Susana Road, Suite E, Long Beach, CA.
<br />11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any one time
<br />as specified in Items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and computed in
<br />accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also subject to an annual
<br />cost -of -living adjustment pursuant to Section 100425 of the California Health and Safety Code.
<br />12. Radioactive material may be used only by, or under the supervision and in the physical presence of, individuals who:
<br />(a) Have satisfactorily completed a course, accepted by the Department as adequate, in safe use of soil/asphalt
<br />content gauges containing radioactive material and also;
<br />(b) Have been provided with a statement, signed by the Radiation Safety Officer, which designates that individual
<br />as an authorized user qualified to use radioactive material under this license. Copies of these document% shall be
<br />maintained for inspection by the Deportment.
<br />13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive material
<br />described in Items 6, 7, 8 and 9 of this license in accordance with the statements, representations, and procedures
<br />contained in the documents listed below. The Department's regulations shall govern unless the statements,
<br />representations, and procedures in Lite licensee's application and correspondence are more restrictive than the
<br />regulations.
<br />(a) The renewal application with attachments dated November 13, 2007, signed by Julie Star, Corporate Radiation
<br />Safety Officer, as modified by the letter with attachments, dated July 9, 2009, signed by Julie Ster, Corporate
<br />Radiation Safety Officer, the email with attachments received from Julie Star, Corporate Radiation Safety
<br />Offieer, on March 15, 2011, and the letter with attachments, dated January 18, 2013, signed by David Robinson,
<br />Radiation Safety Officer.
<br />(b) The e-mails, both with attaebtttents, received on duly 23, 2015 and June 8, 2016, both from Julie Ster,
<br />Corporate Radiation Safety Officer, and the letters, both with attachments, dated March 6, 2016 and
<br />March 24, 21116, both signed by Julie Ster, Corporate Radiation Safety Officer, in regards to adding
<br />20411 South Susana Road, Suite F., Long Beach, CA, as a permanent storage location, releasing 620 West
<br />16" Street, Unit F, Long Beach, CA, for unrestricted use, Duties and Responsibilities Had Delegation of
<br />Authority for the Radiation Safety Officer, updated Emergency Contact List, and updated
<br />Organizational Chart.
<br />14. (a) The Radiation Safety Officer in this program shall be Jeffery Diaz.
<br />(b) The Alternate Radiation Safety Officer in this program for Long Beach shall he Roger Khoudessian.
<br />(c) The Alternate Radiation Safety Officer in this program for Irvine shall be Forld Ghahcri.
<br />15. Sealed sources contained in CPN, Troxler and Humboldt Scientific soil/asphalt gauges shall be tested for leakage
<br />and/or contamination at intervals not to exceed twelve (12) months.
<br />S'4ubsp;
<br />C;ily Council
<br />Banbsp;21 lndash; lnbsp;IN9
<br />7/6/2021
<br />@nhsp;
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